Individual provider · Type 1 NPI

Mary Shackelford Mumford, LICSW

Clinical Social Worker · Quincy, MA

NPI number 1730291246 Active

Practice location

1354 Hancock St
Quincy, MA 02169-5109

Call (617) 471-5686 Map

Mailing address

17 Church St
Dedham, MA 02026-4315

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1021698 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1730291246

Mary Shackelford Mumford, LICSW's National Provider Identifier is 1730291246, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Quincy, MA. The record was last updated on Jul 8, 2007.